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HomeMy WebLinkAboutPermit Electrical 1992-7-10 ~"\.- SP.IINGt:'IlZ.LU approval. -" rO~Ulro spoeffie land Use ~ 225 FIFTH STREET ". ZO~9- (10 ) ELECTRICAL P"ERlfIT APPLICATION SPRINGFIELD, OREGON 97477 Dete~ n .y) INSPECTION REQUEST: 726-37&lbriz<;dSig {A-J. City Job Number '-1A( /{ f5{ 0 OFFICE: 726-3759 nature~ 3. COHPLE;'Ir. nr.-SCHEDULE BELOV 4! 1. J4>CA,t[@ OF ;I:NSTALLATION LL .::It c::.. 4-\. 0,,"""")':-\ 1\ H\ 0 i\ .ry J .... ) A. New Residential-Single or ~ Multi-Family per dwelling unit. " Service Included: ~. Itf()~~fi~O~. n \~ ~JOB DE,SCRIPTI9lf ~ OV -;".)P V\. l' ~ 0 _ ~ . ..l\()"vL I) _ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~:. 2. CONTRACTOR INSTALLATION ONLY Electric~l contrac~~ / Address P.;c~IYP)3 <ih)1 v4CfS Ci ty 5)0.fN.J Phone'rf ( -()4q/- Supervisor License Number ~()C1~~ \Q.\.q~ COlQ:D I ~.l(o .q~. Expiration Date 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder" B. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterationi or Relocation: 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only I ;5D $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number C. " Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date S~uJry of Supervising Electrician r,/U/J LmdA~\ Owners Name. \ n~ Q t>. ffi \ - ~ 9V Address ~~5 't'{\t, ; fu City ~tL.Pho~e~ OVNER ~SfALLATION The "installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------------[Ar7.}-~-------------- DATE: Y') I \O.~ . I RECEIPT li: ; (. _ _ .8.",H.'t RECEIVED BY: AJI'!)( 1/ " . $ 40.00 $ 55.00 $ 80.00 volts see "B" above ew, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Add it ional Circuit or with Service or Feeder Permi t E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~.cfJ ;~.~8-